Best practice for prevention and treatment of cardiovascular disease through an equity lens : a review

Beauchamp, Alison, Peeters, Anna, Tonkin, Andrew and Turrell, Gavin 2010, Best practice for prevention and treatment of cardiovascular disease through an equity lens : a review, European journal of cardiovascular prevention and rehabilitation, vol. 17, no. 5, pp. 599-606, doi: 10.1097/HJR.0b013e328339cc99.

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Title Best practice for prevention and treatment of cardiovascular disease through an equity lens : a review
Author(s) Beauchamp, AlisonORCID iD for Beauchamp, Alison
Peeters, Anna
Tonkin, Andrew
Turrell, Gavin
Journal name European journal of cardiovascular prevention and rehabilitation
Volume number 17
Issue number 5
Start page 599
End page 606
Total pages 8
Publisher Sage Publications
Place of publication London, England
Publication date 2010-10
ISSN 1741-8267
Keyword(s) cardiovascular disease
clinical guidelines
public health policy
socioeconomic status
Summary Background Despite declining rates of cardiovascular disease (CVD) mortality in developed countries, lower socioeconomic groups continue to experience a greater burden of the disease. There are now many evidence-based treatments and prevention strategies for the management of CVD and it is essential that their impact on the more disadvantaged group is understood if socioeconomic inequalities in CVD are to be reduced.

Aims To determine whether key interventions for CVD prevention and treatment are effective among lower socioeconomic groups, to describe barriers to their effectiveness and the potential or actual impact of these interventions on the socioeconomic gradient in CVD.

Methods Interventions were selected from four stages of the CVD continuum. These included smoking reduction strategies, absolute risk assessment, cardiac rehabilitation, secondary prevention medications, and heart failure self-management programmes. Electronic searches were conducted using terms for each intervention combined with terms for socioeconomic status (SES).

Results Only limited evidence was found for the effectiveness of the selected interventions among lower SES groups and there was little exploration of socioeconomic-related barriers to their uptake. Some broad themes and key messages were identified. In the majority of findings examined, it was clear that the underlying material, social and environmental factors associated with disadvantage are a significant barrier to the effectiveness of interventions.

Conclusion Opportunities to reduce socioeconomic inequalities occur at all stages of the CVD continuum. Despite this, current treatment and prevention strategies may be contributing to the widening socioeconomic-CVD gradient. Further research into the impact of best-practice interventions for CVD upon lower SES groups is required.
Language eng
DOI 10.1097/HJR.0b013e328339cc99
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2010, Sage Publications
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Document type: Journal Article
Collections: Faculty of Health
Population Health
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